Major Hepatectomy
Conditions
Brief summary
before major hepatectomy, in case of insufisant future liver remanent volume or function, portal embolization is a routinely used method to enable growth of the future liver remnant. Recently liver venous deprivation has been described in some pioneer centre. The results are processing with greater and faster hypertrophy allowing probably less drop out from the embolization to surgery compared to portal embolization. In major hepatectomy, and specially in right or extended right hepatectomy the segment IV plays an important role in the proportion of future liver remnant. Despite the growing interest in the scientific community for liver venous deprivation many aspects concerning the liver hypertrophy remains unexplored. In particular the the degree of hypertrophy of segment IV after liver venous deprivation compared to portal embolization.
Interventions
None listed
Sponsors
University Hospital, Montpellier
Study design
Observational model
CASE_CONTROL
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 100 Years
Healthy volunteers
No
Inclusion criteria
\- patient with liver tumor selected for right hepatectomy with insufficient future liver remnant who have undergoes portal embolization or liver venous deprivation
Exclusion criteria
\- left / extended left hepatectomy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| segment IV degree of hypertrophy | 1 day | segment IV degree of hypertrophy |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| recurrence free survival | 5 years | recurrence free Survival : is the the survival without same deasese recurrence from the hepatic surgery date until the 01/04/2020 or during 5 years |
| overall survival | 5 years | overall Survival : overall survival : is overall survival from date of hepatic surgery until the 01/04/2020 or during 5 years |
Countries
France
Outcome results
None listed